Larco, Kathlyn Tatiana

Larco, Kathlyn Tatiana is an sole proprietor health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Larco, Kathlyn Tatiana can be contacted via phone (951) 486-4000.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 486-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X PA59086 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X PA59086 California

Profile Details

NPI number 1649894403
LBN Legal business name Larco, Kathlyn Tatiana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2020
Last updated Aug 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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